Andrew C. Stephens, s/k/a Andrew Charles Stephens v. Commonwealth of Virginia

Court of Appeals of Virginia·Decided October 25, 2016·No. 1432151·Unpublished

Opinion

COURT OF APPEALS OF VIRGINIA

Present: Judges Chafin, Malveaux and Senior Judge Frank UNPUBLISHED

Argued at Norfolk, Virginia

ANDREW C. STEPHENS, S/K/A ANDREW CHARLES STEPHENS

MEMORANDUM OPINION* BY

v. Record No. 1432-15-1 JUDGE MARY BENNETT MALVEAUX OCTOBER 25, 2016

COMMONWEALTH OF VIRGINIA

FROM THE CIRCUIT COURT OF THE CITY OF NEWPORT NEWS Timothy S. Fisher, Judge

Jonathan P. Sheldon (Sheldon, Flood & Haywood, PLC, on briefs), for appellant.

Aaron J. Campbell, Assistant Attorney General (Mark. R. Herring, Attorney General, on brief), for appellee.

Andrew C. Stephens (“appellant”) was convicted of aggravated malicious wounding, in violation of Code § 18.2-51.2. On appeal, appellant argues that the evidence was insufficient because there was no evidence of an intentional or criminal act committed by appellant and there were innocent explanations for the victim’s symptoms. He further argues that the trial court erred by not qualifying his witness as an expert in biomechanics. Finding no error, we affirm the trial court.

I. BACKGROUND

The facts of this case concern an injury to the two-and-a-half-month-old daughter of appellant. Appellant provided the following narrative of the events of Friday, November 2, 2012 to Sunday, November 4, 2012 to Detective Jeff Senter of the Special Victims Unit of the

*

Pursuant to Code § 17.1-413, this opinion is not designated for publication.

Newport News Police Department and to Dr. Susan Lamb, a Child Abuse Pediatrics Fellow with the Children’s Hospital of the King’s Daughters (“CHKD”) in Norfolk.

On Friday, November 2, 2012, appellant’s wife, Amber Stephens (“mother”), left home for training with the National Guard at approximately 5:30 a.m. Appellant and his wife both later reported that their daughter, R.S., was in a normal state of health at the time mother left. A few days earlier, on Wednesday, October 31, 2012, R.S.’s godmother babysat her while her parents went out to dinner. R.S. spit up once during that period of time, but otherwise was fine. The next day, Thursday, November 1, 2012, R.S. was in the care of her mother, and acted a bit fussier than usual but fed normally and did not appear ill.

At 7:30 p.m. on Friday, November 2, 2012, appellant noticed that R.S. was gasping for breath after he fed her. Appellant flipped her over and started patting her back. R.S. went limp for a second and then made a “weird groaning sound” that she had not made before. Appellant sought help at the home of a neighbor, who called 911. R.S. was transported to Mary Immaculate Hospital, and after an evaluation by a nurse and a doctor, was discharged that night. Appellant was given specific instructions on feeding R.S.

The following day, Saturday, November 3, 2012, R.S. vomited after every feeding and was fussy all day. Appellant first called R.S.’s pediatrician’s office and was advised to give her small amounts of Pedialyte. When R.S. continued to vomit, appellant took R.S. to Mary Immaculate Hospital. R.S. was evaluated and discharged that day, with appellant again given instructions on feeding.

R.S. woke up on Sunday, November 4, at 5:00 a.m. and was fussy. After appellant fed her, she threw up. R.S. then went limp, began groaning, and experienced breathing problems. Appellant called 911 and R.S. was transported by ambulance to Mary Immaculate Hospital,

where a nurse examined her and described the infant as having “seizure-like activity.” R.S. was then transferred to CHKD.

On November 5, 2012, Detective Senter spoke with appellant at CHKD. Appellant told Senter that he had been alone with R.S. the entire weekend. Senter asked during this first conversation with appellant if there any been any falls or accidents during the weekend. Appellant stated that the only accident he remembered occurred one week before, when appellant had picked up R.S. from her crib and bumped her head on the light fixture hanging from the ceiling above the crib. Senter received a voicemail from appellant the next day, stating that he had “remembered something” and “may have made a mistake.” Senter arranged to meet with appellant on November 14, 2012, and at that time appellant said that when R.S. was limp in his arms, he put her in his forearms and “had shaken her.” He demonstrated how he shook R.S. in his forearms to Senter. He further stated that “he wasn’t going to town on her” and “was scared.” He told Senter that he did not want to cause “any damage” when he was shaking her.

Dr. Lamb examined R.S. on November 5, 2012.1 During her examination, Dr. Lamb found a one-centimeter bruise on R.S.’s lower back.2 Dr. Lamb also noted that R.S. had a clavicle fracture. An x-ray taken on November 4, 2012 revealed that the fracture occurred within the last ten days, as there were no signs of healing on the bone. A review of R.S.’s CT scans and MRIs revealed that R.S. had bilateral subdural hemorrhages. R.S. also had an ophthalmological examination that showed that she had multiple retinal hemorrhages, which occur when vessels rupture throughout the back of the eye. She also had retinoschisis in her right eye, where two layers of her retina had separated and the opening had filled with blood. A CT scan conducted

1 At trial, Dr. Lamb was qualified as an expert in child abuse pediatrics.

2 The staff at Mary Immaculate Hospital first noticed the bruise on R.S.’s back.

Dr. Lamb did not see the restraints that were used to transport R.S. from Mary Immaculate Hospital to CHKD, but stated that she was “very familiar” with the type of transport that would have been used, and said that it would not affect the area where R.S. was bruised.

on November 9, 2012 revealed that just over a centimeter of R.S.’s brain had shrunk due to the death of brain tissue. Dr. Lamb noted that dead brain tissue does not rejuvenate.

Dr. Lamb diagnosed R.S. with abusive head trauma. She developed her diagnosis of abusive head trauma by speaking with the parents, reviewing R.S.’s medical history, asking about any possible accidents or medical conditions, and looking for other potential medical conditions. Dr. Lamb testified that the American Academy of Pediatrics defines abusive head trauma as a violent act that injures an infant’s brain causing injury to the brain as marked by subdural hemorrhages. The doctor noted that this type of injury is caused by “rotational acceleration/deceleration forces.” She explained that rotational acceleration forces cause tearing of the blood vessels and brain damage. Dr. Lamb stated that the spectrum of neurologic symptoms of abusive head trauma depends on how badly the brain was injured. The symptoms may include an individual becoming stunned or dazed, and having breathing problems or seizures. The onset of symptoms is immediate after the brain injury occurs, but symptoms may get progressively worse.

Dr. Lamb noted that there was nothing in R.S.’s medical history that could explain her various injuries. She testified that “in the absence of an accidental history . . . [or] a medical condition that would cause it, it [left] that this was an inflicted abusive head injury,” as otherwise “there was no explanation for it.” The last case in which Dr. Lamb saw similar injuries arose from a car accident involving a child strapped in a car seat. The type of force associated with R.S.’s injuries would be “a force well outside of normal parenting.” Additionally, as R.S. was not yet walking or crawling, she could not have injured herself in such a way.

On November 5, 2012, mother reported to Dr. Lamb that she had an uneventful vaginal delivery of R.S. Mother did state that R.S. had been kept in the hospital after birth because mother had a certain type of bacteria and that R.S. was given antibiotics. Mother also told

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